Individual
ALI HUSSEIN MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6975 WASHINGTON AVE S, EDINA, MN 55439-1511
(763) 600-4133
Mailing address
6975 WASHINGTON AVE S, EDINA, MN 55439-1511
(763) 600-4133
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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